[Laparoscopic reconstructive Roux-en-Y hepaticojejunostomy]

Area of Science:

• Gastroenterology and Hepatobiliary Surgery
• Minimally Invasive Surgical Techniques

Background:

• Intraoperative bile duct injuries (BDIs) during laparoscopic cholecystectomy remain a significant challenge in modern surgery.
• These injuries can lead to severe patient morbidity, reduced quality of life, and necessitate complex revision surgeries.
• While endoscopic therapies are valuable for postoperative benign bile duct strictures, they are not universally effective.

Purpose of the Study:

• To present a novel minimally invasive approach for managing postoperative bile duct strictures.
• To demonstrate the feasibility of laparoscopic reconstructive Roux-en-Y hepaticojejunostomy for complex bile duct injuries.

Main Methods:

• A case report detailing a laparoscopic reconstructive Roux-en-Y hepaticojejunostomy.
• The procedure was performed in a patient with a postoperative common bile duct stricture classified as Halperin type 0.

Main Results:

• Successful completion of a laparoscopic reconstructive Roux-en-Y hepaticojejunostomy.
• The patient's postoperative bile duct stricture was addressed using a minimally invasive technique.

Conclusions:

• Laparoscopic reconstructive Roux-en-Y hepaticojejunostomy is a viable and successful alternative to open surgery for specific cases of postoperative bile duct strictures.
• This minimally invasive approach offers a promising option for patients with complex bile duct injuries, potentially improving outcomes and reducing recovery time.